Individual
MINGQUAN TONGBHAKDEE SUKSANONG
Active
Individual
MINGQUAN TONGBHAKDEE SUKSANONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
ME0031666
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
059830500
—
FL
01
—
160184600
WORK COMP
FL
01
—
52999
BCBS
FL
01
—
P00883306
RAILROAD MEDICARE
FL
Enumeration date
03/29/2006
Last updated
05/01/2012
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